That's got to be one of the stupidest things I've ever read. In fact, I'm officially astonished. With one single statement you've managed to throw out the entirety of Western Civilization. Every last bit of it. I wouldn't have thought it possible, even on a bet, but there it is - you did it.
“Missouri had argued that medical experts found Clayton understood why he was being executed and that meant he was competent to face the needle.”
He was competent. He knew what he did and that it was wrong. What’s the problem here?